甘肃省张掖市2011年麻疹流行病学特征分析  

Measles Epidemiological Characteristics of Zhangy e City,Gansu Province,in 2011

作　　者：卢莉萍[1] 李吉栋[1] 张晓萍[1] 王龙云[1] 张娅秀 

机构地区：[1]张掖市疾病预防控制中心,甘肃张掖734000

出　　处：《中国初级卫生保健》2012年第10期77-78,共2页Chinese Primary Health Care

摘　　要：目的了解甘肃省张掖市2011年1—12月麻疹流行情况,分析其流行原因,以制订有效的防控措施。方法对2011年1—12月麻疹疫情进行描述性流行病学分析。结果 2011年1—12月报告麻疹病例120例,报告发病率为9.04/10万,较2010年同期上升166.67%;其中75.00%的病例(90例)集中在甘州区;年龄分布呈现"双向移位",主要是<8月龄和≥15岁年龄组,分别占发病总数的48.33%和24.17%;无免疫史者占69.17%(83例),免疫史不详者占23.33%(28例),有免疫史者仅占7.50%(9例);发生暴发8起22例,其中乡镇暴发1起6例,行政村(社区)暴发7起16例;复核流行病学调查63例,发病前7～21天有医院就诊史或接触史者占87.30%(55例),无医院就诊史者仅占9.52%(6例)。结论张掖市2011年麻疹高发的主要原因与基础免疫薄弱、及时接种率低下、接种质量不高、院内感染有关。防控重点对象为<8月龄和≥15岁人群。OBJECTIVE Understanding of Zhangye City, Gansu Province, from January to December 2011 measles epidemic, and to analyze the popular reasons for the development of effective prevention and control measures. METHODS January to December of 2011, described the epidemic of measles epidemiological analysis. RESULTS January to December 2011 reported measles cases, 120 cases, the reported incidence 9.04/100 000, representing an increase of 166.67% over the same period in 2010. Most cases are located in Ganzhou, 90 cases, accounting fo.r 75.00% of the total incidence. Age distribution showed ＂two-way shift＂, mainly〈8 months old and adults /〉 15 years of age, accounting for 48.33% of total incidence, 24.17%. No immunization history in 83 cases, accounting for 69.17%, with immunization history, 9 cases（7.50%）, immunization history is unknown in 28 cases, accounting for 23.33%, eight outbreaks, 22 cases of an outbreak of a township as a unit from 6 cases to administrative villages（community） as aunit outbreak of seven in 16 cases. Review of epidemiological investigation of 63 cases, 7-21 clays before the onset of hospital history or history of exposure to 55 cases, accounting for 87.30%, no history of hospital treatment in 6 cases, accounting for only 9.52%. CONCLUSION Zhangye City in 2011 the main reason for high measles immunization with the foundation is weak, the low rate of timely vaccination, vaccination of high quality, hospital infection. Key targets for the prevention and control of 〈8 months of age and ≥15-year-old adults.

关 键 词：麻疹 流行病学特征 防控对策 

分 类 号：R186[医药卫生—流行病学]